Why the study?
Ventricular arrhythmias resulting from autonomic dysregulation in chronic spinal cord injury are rare and isolated.
Case Report (n=1)
Highlights the rare occurrence of symptomatic ventricular arrhythmia as a result of autonomic dysregulation in the chronic phase of cervical spinal cord injury.
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Clinicians should consider late arrhythmia risk in cervical SCI; single case leaves open prevalence, causality, and surveillance needs.
Patients with cervical spinal cord injury have a high incidence of cardiac arrhythmias, especially in the first 14 to 30 days after traumatic event (acute phase). Electrophysiological abnormalities described in the acute phase are most often bradycardia, which is spontaneous or triggered by various stimuli. In the chronic phase, varied arrhythmias are described, but ventricular arrhythmias as a result of autonomic dysregulation in chronic SCI are rare and isolated. We present the case of a patient with a C5-C6 incomplete spinal cord injury (ASIA-B grade) in which symptomatic ventricular arrhythmia is described one year after the traumatic event.
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Guşetu et al. (2020) conducted a case report in Cervical spinal cord injury with ventricular arrhythmia (n=1). Metoprolol tartrate and Propafenone vs. Baseline (untreated) was evaluated on 24-hour ventricular premature beats (VPB) burden.
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